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. 2020 Nov 9;8(11):2325967120963054. doi: 10.1177/2325967120963054

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© The Author(s) 2020

This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).

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Figure 3. — (A) Anteroposterior and (B) lateral radiographs of the left elbow of a 16-year-old female gymnast (patient A) who sustained a repeat injury from continued gymnastics 2 years after arthroscopy, chondroplasty, microfracture, and loose body removal and required an OATS procedure. After the index procedure, there was restoration of the articular contour and sclerosis indicative of radiographic healing 3 months postoperatively. These radiographs are from just before the OATS procedure and illustrate the new large capitellar osteochondral defect that did not resolve with nonoperative management. Selected T2 (C) coronal and (D) sagittal magnetic resonance images of the left elbow. Imaging was obtained before the OATS procedure and demonstrates an unstable osteochondral fragment. (E) Arthroscopic image shows the large capitellar osteochondral defect after repeat injury. After the OATS procedure, the patient had clinical and radiographic healing and was able to return to full activities, including gymnastics. OATS, osteochondral transfer system with allograft.